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<br />APPLICATION FuR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />R f P{-'IC f (1 <br />P E' rf' l.--'-f ,'I- ~ <br />d c.> /-/~ IS <br /> <br />Il" l-pq IT <br /> <br />ADDRESS <br /> <br />/)~ v . - rI -r <br />/ '73 / / ~ e p ~ ,.r <br /> <br />J/V1, 'c d ~ / ~ f/l/l 4 l~ ~.'''' r_\, <br />C~ v It II W l" ~/~ y" (T '~P&~ONE <br />, / / <br /> <br />'7?:r-07?~ <br /> <br />APPLICANT <br /> <br />OWNER .C::::: rt V<--t- E___ <br />JOB LOCATION )d () 7 G ~ / / ft I U c/ LOT SIZE_X <br />LEGAL DESCRIPTION: LOT (s) in -I- (, 17 BLOCK d 6' ? SUBDIVIS ION <br />PARCEL I.D.~~ d/-~~~d/ (!)~/t!J~;>CJe -&06 f7 <br /> <br />AREA SQ. FT. <br /> <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />-:--4~ of Units <br /> <br />_____M I H <br /> <br />____commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />S-/a b <br />/~;1J.CJ <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />- , <br /> <br />Square Fee t, <br /> <br />Height, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />o {) <br />/ S-~S-t9 - Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />_ CONTRACTOR SECT~ <br />V (J Ie ~/ S lA--t : -/ It {'.9",'.r;l; Company a ;; ,,/ L _ :;:--~...., ~ ~ 4. ('6' r<- r r ....( <br />~_ --;;:(" ~ ~ State Cert. or Regist. 4~ R ~ j 7s ~ / <br />'- 1. City License Registration l~ ~ .sr- <br />****************************************** <br /> <br />Sirmature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMRFR <br /> <br />f, <br />MECHANICAL <br /> <br />Signature <br /> <br />\,,;ompany <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registrati'on IF <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~. **********~************************ <br />b4' O^~ <br /> <br />PERMIT OFFICER. <br />